Individual provider Active NPI

Jennifer Son

  • Certified Registered Nurse Anesthetist
  • Casa Grande, AZ
National Provider Identifier
1255215323
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
290468 Issued in AZ
Practice address
1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone
(520) 381-6300
NPI assigned
Aug 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 290468 AZ Primary
Critical Care Medicine Registered Nurse 163WC0200X 290468 AZ

Addresses

Primary practice location

1800 E Florence Blvd
Casa Grande, AZ 85122-5303

Mailing address

7607 Nada St
Downey, CA 90242-2209

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251121003068 AZ Practitioner - Certified Registered Nurse Anesthetist (Crna) 8527550094 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Partners and Management LLCGroup PAC ID 9931429198, 151 clinicians

Practice addresses (Care Compare)

1800 E Florence Blvd
Casa Grande, AZ 85122-5303
Phone (480) 420-4027

Hospital & facility affiliations

  • Banner Casa Grande Medical Center Hospital, Casa Grande, AZ, CCN 030016

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
290468AZMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Guide Anesthesia Az LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 27, 2025 Accepting new patients
Anesthesia Partners & Management LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 27, 2025 Accepting new patients

Locations

1800 E Florence Blvd
Casa Grande, AZ 85122
Phone (520) 381-6285

1020 N San Francisco St
Ste 100
Flagstaff, AZ 86001
Phone (928) 774-2300

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

4600 E Washington St
Ste 300
Phoenix, AZ 85034
Phone (602) 638-1872

3900 E Camelback Rd
Ste 190
Phoenix, AZ 85018
Phone (888) 724-6236

6501 N 19th Ave
Phoenix, AZ 85015
Phone (602) 314-4280

3110 Clearwater Dr
Prescott, AZ 86305
Phone (623) 241-6185

1704 W Anklam Rd
Ste 108
Tucson, AZ 85745
Phone (623) 241-6185

1030 W 24th St
Ste H
Yuma, AZ 85364
Phone (520) 726-5151

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1754092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1255215323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7607 NADA ST",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902422209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E FLORENCE BLVD",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851225303",
            "telephone_number": "520-381-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SON",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-02",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "290468",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "AZ",
            "license": "290468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.